| Texas Sedation Dental & Implant Center | |
|
444 Forest Sq Ste E Longview TX 75605-4463 | |
| (903) 758-5551 | |
| (903) 758-5877 |
| Full Name | Texas Sedation Dental & Implant Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 444 Forest Sq Ste E, Longview, Texas |
| Authorized Official Name and Position | Travis Lane Kendall (DENTIST) |
| Authorized Official Contact | 9037585551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Sedation Dental & Implant Center 444 Forest Sq Ste E Longview TX 75605-4463 Ph: (903) 758-5551 | Texas Sedation Dental & Implant Center 444 Forest Sq Ste E Longview TX 75605-4463 Ph: (903) 758-5551 |
| NPI Number | 1124681564 |
|---|---|
| Provider Enumeration Date | 04/22/2019 |
| Last Update Date | 06/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124681564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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